Northern Optical, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

U Issued in MI

Legal business name

NORTHERN OPTICAL, INC.

Doing business as

Exact Eye Care

Practice address

1114 S Stephenson Ave
Bay 9
Iron Mountain, MI 49801-4038

Phone

(906) 774-8318

Fax

(906) 774-1603

NPI assigned

Jan 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. George Tokarczyk

Title

President

Phone

(712) 252-1519

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Exact Eye Care Doing business as

Tax ID family

Exact Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northern Optical Inc

  • Eyewear Supplier
  • Escanaba, MI
  • NPI 1497892426
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Raboin, O.D.

  • Optometrist
  • Iron Mountain, MI
  • NPI 1710039169
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093867434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 4TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011401",
            "telephone_number": "712-252-1519",
            "fax_number": "712-252-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 S STEPHENSON AVE",
            "address_2": "BAY 9",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498014038",
            "telephone_number": "906-774-8318",
            "fax_number": "906-774-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TOKARCZYK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-252-1519",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "U",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION ONE",
            "identifier": "01242",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MI3140",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECPA",
            "identifier": "121517",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMIN",
            "identifier": "19204",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exact Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dakota Norman, CRNA
• Northern Eye Care Associates, P.C.
• Northern Eye Care Associates, P.C.
• Northern Lights Compounding Inc.
• Northern Michigan Home Health Inc
• Northern Orthotics & Prosthetics
• Northern Pathology Laboratory, P.C.
• Northwoods Imaging Associates PC
• John E. Nowicki, D.C.
• Brenda Sue Nurmela, RD

• Eyewear Supplier in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.